中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
7期
919-920
,共2页
单纯疱疹病毒%角膜溃疡%病灶切除%结膜瓣遮盖术
單純皰疹病毒%角膜潰瘍%病竈切除%結膜瓣遮蓋術
단순포진병독%각막궤양%병조절제%결막판차개술
Herpes simplex virus%Corneal ulcer%Removal of the necrotic corneal tissue%Conjunctival flap covering surgery
目的 观察病灶切除联合结膜瓣遮盖术治疗单纯疱疹病毒性深层角膜溃疡的治疗效果.方法 回顾性分析行病灶切除联合结膜瓣遮盖术的单纯疱疹病毒性深层角膜溃疡患者20例(20只眼),对上述患者行病灶清除+结膜瓣遮盖术治疗,彻底切除病灶,依病灶大小自患眼角膜上方切取游离结膜瓣或带蒂结膜瓣缝合于植床,术后针对原发病进一步进行抗病毒治疗1月以上,并随访5～20月不等,观察疗效.结果 20例中16例控制了炎症,治愈角膜溃疡,4例失败.结论 病灶切除联合结膜瓣遮盖术可以为单纯疱疹病毒性深层角膜溃疡提供较好地治疗手段.
目的 觀察病竈切除聯閤結膜瓣遮蓋術治療單純皰疹病毒性深層角膜潰瘍的治療效果.方法 迴顧性分析行病竈切除聯閤結膜瓣遮蓋術的單純皰疹病毒性深層角膜潰瘍患者20例(20隻眼),對上述患者行病竈清除+結膜瓣遮蓋術治療,徹底切除病竈,依病竈大小自患眼角膜上方切取遊離結膜瓣或帶蒂結膜瓣縫閤于植床,術後針對原髮病進一步進行抗病毒治療1月以上,併隨訪5～20月不等,觀察療效.結果 20例中16例控製瞭炎癥,治愈角膜潰瘍,4例失敗.結論 病竈切除聯閤結膜瓣遮蓋術可以為單純皰疹病毒性深層角膜潰瘍提供較好地治療手段.
목적 관찰병조절제연합결막판차개술치료단순포진병독성심층각막궤양적치료효과.방법 회고성분석행병조절제연합결막판차개술적단순포진병독성심층각막궤양환자20례(20지안),대상술환자행병조청제+결막판차개술치료,철저절제병조,의병조대소자환안각막상방절취유리결막판혹대체결막판봉합우식상,술후침대원발병진일보진행항병독치료1월이상,병수방5～20월불등,관찰료효.결과 20례중16례공제료염증,치유각막궤양,4례실패.결론 병조절제연합결막판차개술가이위단순포진병독성심층각막궤양제공교호지치료수단.
Objective To study the clinical observation of removal of the necrotic corneal tissue combined with conjunctival flap covering surgery in treatment of deep corneal ulcer caused by herpes simplex virus.Methods A retrospective study was done to 20 patients (20 eyes) who had accepted removal of the necrotic corneal tissue combined with conjunctival flap covering surgery for deep corneal ulcer caused by herpes simplex virus.Antiviral therapy was applied more than one month for all patients after the surgery.The follow-up visit ranges from 5 to 20 months to observe the curative effect.Results Sixteen patients had success done with the surgery; the corneal ulcer was not enlarge and healing after operation.Fore cases were failed to keep the eyeball.Conclusions It is safe and effective to perform removal of the necrotic corneal tissue combined with conjunctival flap covering surgery in treatment of deep corneal ulcer caused by herpes simplex virus.
